Use of grafts in rhinoplasty

Use of grafts in rhinoplasty

Use of grafts (Tissue transplant) In reconstructive nose surgery

In medical science and in the surgical process, graft refers to the transfer of tissue from one area of ​​the body to another area. This tissue transfer can be done from another person's body. In reconstructive rhinoplasty, in most cases, it is necessary to use a graft and remove cartilage tissue for transplanting to the nose.. Graft has nothing to do with small or big nose, and if needed, graft is also used in small noses. According to the surgeon's assessment of the patient's body, three areas have the possibility of cartilage tissue transfer to the nose, which we will continue to examine the use of grafts in nasal reconstructive surgery..

سپتوم (The Middle blade of the nose)

The surgeon generally tries to transfer the cartilage from the septum or middle nasal septum. Because the probability of absorbing this cartilage in the body is very low. But in most cases, the cartilages of this area have been removed in the primary surgery. And the surgeon has to transfer cartilage from other areas.

Ear

After the septum, removal of cartilage from the ear is the most common technique in grafting. By making a small incision in the back of the ear, the surgeon removes some cartilage from this area. It should be said that this work is done without any change in the appearance of the ear.

Ribs

Sometimes, depending on the surgeon's diagnosis, cartilage is transferred to the nose through the ribs. In this method, a small incision is made under the breast and then the required amount of cartilage is removed from this area.

Isfahan nose surgeon | Use of grafts in rhinoplasty

When does the surgeon use prosthesis for restoration?

When the surgeon cannot use the cartilages of the nasal septum to strengthen the cartilages. and solve the problems of the nose, and the cartilage of the ear and rib area is not suitable for repair in terms of tissue thickness, curvature and deformity, he will use prosthesis or artificial cartilage.

Prostheses used for nose correction are made of silicone. And they are offered in the market with different qualities and brands. If the quality of these prostheses is not suitable, the body will be susceptible to infection. The importance of choosing a good nose surgeon can also be seen at this stage. If the doctor is skilled in his work, he will place quality prostheses in a healthy bed of tissue in the body.

How long after primary rhinoplasty can I have reoperation?

The best time to repair is when the initial wounds and scars are completely healed and gone. For this reason, you must be patient after the initial operation. To determine the final shape of the nose and heal wounds. Sometimes, due to the swelling and inflammation caused by the surgery, the patient thinks that the nose was not operated well and has defects. While with the passage of time and the healing of wounds and the reduction of swellings, defects are no longer observed.

Most Iranian plastic surgery specialists believe that bony noses after 1 years and fleshy noses after 2 Sal can judge the final shape of their nose. In fact, the swelling of the nose disappears after this period, and the previous surgical wounds are completely healed.


Dr Behnam khorami

Isfahan nose surgeon

Click to view the Instagram page of Dr. Behnam Khorami, a specialist and rhinosurgeon in Isfahan.


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Colds before rhinoplasty

Colds before rhinoplasty

Colds before rhinoplasty

Colds before rhinoplasty :

One of the most common questions asked by people who have a nose job in the cold season is about a cold before a nose job.. Should people with a cold delay surgery? What to do if you catch a cold virus after rhinoplasty? Stay with us until the end of this article to get the answers to these questions.

Colds before rhinoplasty :

The common cold virus is usually like the upper respiratory tract : It affects the nose, larynx, throat, and sinuses, so rhinoplasty is not recommended for people with the virus, as the applicant may have a lung infection and have a long and difficult recovery period.. The patient should also take medications to improve the common cold that are prohibited for at least two weeks before surgery..

Therefore, people who have the common cold virus should delay their operation until they have fully recovered..

Isfahan nose surgeon | Colds before rhinoplasty

Colds after rhinoplasty :

Also keep in mind that a cold after rhinoplasty can also be a difficult and long recovery period for you, so take good care of yourself after the operation to avoid getting the virus.. But in case of infection, observe the following points :

1. . Talk to your doctor about how to treat and take the medicine.

2. . If you have a runny nose, do not blow at all and gently clean your nose with just a towel..

۳ . Put two pillows under your head when resting.

4. . Eat plenty of soup and juice.

5 . Sneezing and coughing after rhinoplasty can cause the sutures to rupture and the tip of the nose to sag, so try to sneeze or cough gently with your mouth open..

 


Dr Behnam khorami

Isfahan nose surgeon

Click to view the Instagram page of Dr. Behnam Khorami, a specialist and rhinosurgeon in Isfahan.


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Pre-rhinoplasty care

Pre-rhinoplasty care

What are the cares before re-rhinoplasty?

In this surgery, like the first nose operation, the cares before rhinoplasty should be done again, which include::

  • At least 2 Avoid drinking alcohol and smoking a week before surgery.
  • Avoid using thinners. Medicines such as aspirin or some pain relievers can cause discomfort during surgery.
  • Useful and energetic foods (Like protein foods) consume.
  • Take a shower the night before surgery.
  • You must fast on the day of the operation. Eating and drinking from 8 Stop 1 hour before surgery. Dinner should be light.
  • If you have a certain disease or are allergic to a certain drug, be sure to inform the doctor about it.

What should I do before nose repair?

The most important step before nose retouching is choosing the best surgeon. After choosing and finalizing the decision, just like the initial nose job, you should do the following:

  • Atelier photo
  • Blood tests
  • CT Scan (At the discretion of the doctor and if there are respiratory disorders)

Should we apply nose tape after the repair?

yes. Just like the primary nose job, you should 2 Nasal tape should be used a month after surgery. You should learn from your doctor how to apply glue correctly so that there is no problem in shaping the nose.

Isfahan nose surgeon | Pre-rhinoplasty care

Is it possible to travel after nose repair?

Many people travel to Tehran from other countries or cities for rhinoplasty and undergo surgery. The concern of most of these people is to return to their city or country after the operation. In general, nose surgeons believe that a person should not be away from their doctor for a week after the operation. Travel after 7 Rose does not have an obstacle from reconstructive rhinoplasty.

Can the nose be repaired for the third time?

As we mentioned, rhinoplasty is a difficult operation for the second time. Every time the nose undergoes surgery and undergoes changes, the tissues of the nose face more damage and as a result show a more severe reaction.. It is possible to repair the nose for the third time, but the difficulty of doing it is much higher than the previous operations, and the patient's recovery speed is much lower.. In addition, the morale of the patient will be very low in this operation because he did not get the necessary results from his previous two operations.

Of course, it should be said that sometimes the desire for repeated nose surgeries has a psychological aspect. It is possible that the person does not have any problems in terms of beauty and structure
and not just psychologically self-confident. In this case, a good nose surgeon will guide him for psychotherapy and psychological sessions.

Can I use a nose file instead of repair?

Rasping has a different purpose of restoration. Filing is used when a person has a bony nose before the operation, and after the operation, there is still extra bone and protrusion on the nasal septum.. In fact, filing is a limited operation that is only used to remove extra bone on the nasal septum and is not possible for a fleshy nose or other problems that arise after the operation..


Dr Behnam khorami

Isfahan nose surgeon

Click to view the Instagram page of Dr. Behnam Khorami, a specialist and rhinosurgeon in Isfahan.


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Rhinoplasty surgical procedures

Rhinoplasty surgical procedures

A variety of rhinoplasty procedures

The purpose of rhinoplasty is to improve the condition of the nose and its function. The surgeon tries to transplant the cartilage or remove the cartilage from an area of ​​the nose, depending on the condition of the nose.. The doctor removes the required cartilage from the patient's nasal septum (سپتوم), Takes the ear or gear. Rhinoplasty can be performed with both open and closed methods, like primary surgery. In the following, we will examine each of these methods. Rhinoplasty surgical procedures :

Isfahan nose surgeon | Rhinoplasty surgical procedures

Rhinoplasty using open surgery technique

When the surgeon uses the open method for secondary rhinoplasty, he first places the patient under general anesthesia and then achieves the structure of the nose completely by making an incision in the columella and lifting the skin of the nose. Changes are made according to the patient's nasal needs. The internal sutures and sutures are then applied to the columella. The surgeon uses a tampon after the operation to prevent adhesions inside the nose. Finally the splint (Plaster) It is placed on the nose.

What are the advantages and disadvantages of open restorative surgery?

Nasal repair is more difficult and complicated than the initial operation. In open surgery, the rhinoplasty surgeon has a wider field of view and can easily make the necessary changes to the nose.. Other benefits of this technique include::

Possibility of less error due to wide field of view

Possibility of making more changes due to easier access of the doctor to the nasal structure
Some people may think that suturing on a columella is open to surgical problems; But it must be said that if the surgeon acts delicately and carefully, no trace of the suture will remain.

Rhinoplasty using closed technique

In closed nasal retouching surgery, the surgeon performs the surgery without any external incisions or external sutures. At the time, the doctor makes changes to the structure of the nose through the holes, which is more difficult than open surgery. Cutting and suturing are the two main differences between open and closed reconstructive nose surgery. In closed operation, tampons and splints are used.

Is closed nasal surgery better than open surgery?

The answer is that closed surgery has several major problems:

The surgeon's field of vision is very limited and therefore does not have full access to the nasal structure;
Because the surgeon does not have full access to the nasal structure, the possibility of changes is limited;
Due to the limited field of view, the doctor is more likely to make mistakes.
Although closed rhinoplasty is less invasive than the open technique, does less damage to the nasal tissue, and has a shorter recovery period, it is usually a good reconstructive rhinoplasty surgeon because reconstructive surgery is more complex and more difficult than initial surgery. Performs this operation with the open surgery technique. The error rate in open surgery is much lower and the possibility of fundamental changes is higher.

How many hours does reconstructive rhinoplasty take?

This cosmetic procedure is performed under general anesthesia and takes longer than the initial nasal operation. Secondary surgery may be between due to the complexity of the operation 3 until the 4 Take hours; This is while the initial operation of the nose 1 An hour and a half 2 It takes hours.


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Anemia and Rhinoplasty

Anemia and Rhinoplasty

Anemia and Rhinoplasty

There are a number of tests and counseling sessions that are necessary to perform rhinoplasty. These tests and consultations are to determine the physical condition of the person and to determine the degree of readiness for nasal surgery to prevent severe complications and negative results.. One of these tests that definitely everyone should do is a blood test. In addition to diagnosing diseases affecting rhinoplasty, anemia is also identified. The question may arise as to what effect anemia has on a person and their nose function.

What is anemia?

Anemia occurs when the number of healthy red blood cells in your body is very low. Red blood cells carry oxygen to all tissues in the body, so low red blood cell counts indicate that your blood oxygen level is below average.. Hemoglobin is the main protein in red blood cells. It carries oxygen and delivers it throughout your body. Anemia over 1.6 Affects billions of people worldwide. Women and people with chronic diseases such as cancer have the highest risk of developing anemia. This physical condition can definitely have an effect on rhinoplasty and its results.

The main causes of anemia

Dietary iron and vitamin B12 are essential for the maturation of red blood cells in the body. Normally, every day 0.8 until the 1 The percentage of red blood cells in the body is replaced and the average lifespan of red cells 100 until the 120 It is the day.

How to diagnose anemia before rhinoplasty

Anemia is defined as a low number of red blood cells. In a routine blood test, anemia is diagnosed and measured by measuring the level of hemoglobin. If you have anemia, your hemoglobin level will also be low. If it is too low, your tissue or organs may not receive enough oxygen.

Symptoms of anemia before deciding on rhinoplasty

As mentioned, anemia is characterized by low levels of hemoglobin, which is responsible for delivering oxygen to the organs and tissues of the body, and these symptoms are exactly related to this issue.. If you have any of these symptoms before having rhinoplasty, be sure to get tested. The most important symptoms are::

  • Fatigue and boredom because your organs do not receive the amount of oxygen they need to do something.
  • Fast or unusual heartbeat
  • Headache
  • Pain, including in the bones, chest, abdomen and joints
  • Developmental problems, for children and adolescents
  • Shortness of breath
  • Pale or yellow skin
  • Cold and tired legs and weakness

Isfahan nose surgeon | Anemia and Rhinoplasty

Types of anemia effective in rhinoplasty

more than 400 There are different types of anemia and they are divided into three groups: Anemia due to blood loss, anemia due to reduction or production of red blood cells and anemia due to erythrocyte destruction. All of these can be effective during rhinoplasty and later in the recovery period.

Can a person with anemia have rhinoplasty?

People who have made their decision for rhinoplasty for any reason, whether serious or cosmetic, should have a blood test before surgery, as mentioned.. Anemia test If a person is anemic, he or she should take action before surgery to correct the problem. These tests determine the level of hemoglobin, and if the number is less than 10 The person is not ready for rhinoplasty and people who are higher than this number are considered suitable candidates for rhinoplasty if they have other conditions.. It is better to show the results to your doctor to clarify the issue and the type of problem, so that he can talk to you about how to solve it and how effective it is in the rhinoplasty process..

How can anemia be treated before rhinoplasty?

Treatment of anemia depends on the factors that cause it. Anemia due to improper amounts of dietary iron, vitamin B12 and folate can be treated with dietary supplements. In some cases, B12 injection is necessary because it is not properly absorbed by the gastrointestinal tract. Your doctor and nutritionist can prescribe a diet that contains the right amount of vitamins, minerals and other nutrients.. A proper diet can help prevent the recurrence of this type of anemia. In some cases, if the anemia is severe, doctors may use erythropoietin injections to increase red blood cell production in the bone marrow.. If bleeding occurs or the hemoglobin level is too low, a blood transfusion may be needed.

In many cases, with the help of a surgeon and choosing the right path, the standard hemoglobin level for rhinoplasty can be achieved..

Does bleeding during and after rhinoplasty cause anemia?

One of the most common questions among people who want to have rhinoplasty is whether bleeding during and after the operation does not cause anemia..

Explaining this point, it should be said that rhinoplasty is an invasive surgery and also has an incision. Some of this bleeding is completely normal, and especially in surgeries that are to correct the deviation of the septum, this amount of bleeding may be more.. This is because the blood vessels shrink during the operation to reduce bleeding, which then returns to normal and may cause bleeding.. For these reasons, it is recommended that you stay away from medications or foods and beverages that dilute the blood for a while before and after the operation to avoid bleeding.. A little bleeding is normal and will not cause anemia, if this bleeding is severe and comes out of the leg and can not be controlled, Nasal surgeon See for yourself.

Concluding remarks

There are many side effects and diseases that may seem insignificant in appearance, but have a negative effect on the results of rhinoplasty and sometimes endanger the health of the person, so it is recommended a complete check-up after any type of surgery. Plastic surgery is performed to ensure that the patient has a safe recovery period. Anemia is not a problem that can not be solved, if you are aware of this problem, try to treat it with the right solution before rhinoplasty..


Dr Behnam khorami

Isfahan nose surgeon

Click to view the Instagram page of Dr. Behnam Khorami, a specialist and rhinosurgeon in Isfahan.


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Skin care after rhinoplasty

Skin care after rhinoplasty

Skin care after rhinoplasty

Cleansing and washing the skin for skin care after rhinoplasty :
Most surgeons recommend washing the area around the nose that is covered with a splint and plaster bandage.. Of course, splints and plaster should not be wet, so do not shower before removing them. You need to be careful about which cleansers to use during the recovery period. Find gentle cleansers. Although your skin is not sensitive before rhinoplasty, your skin may become sensitive after surgery. A gentle cleanser can reduce the sensitivity and redness of your skin. Your doctor will probably suggest that you clean your skin with soap-free cleansers or special pads without any pressure.. Another way to clean your face is to use anti-allergy, unscented moisturizers.

Isfahan nose surgeon | Skin care after rhinoplasty

Protect skin from sunlight after rhinoplasty

After rhinoplasty or rhinoplasty, the skin around the nose will become more sensitive to the sun's ultraviolet rays.. The sun's ultraviolet rays can change the color of sutured skin. This color change may not go away over time and become a problem. To protect your nose, it is better not to be exposed to the sun and if you have to go out, use sunscreen or a hat.. Use sunscreens that do not clog pores, as clogged pores become problematic after rhinoplasty and may cause pimples and acne.. Most doctors recommend sunscreen with SPF 30 Or 40 Use, higher SPF clogs pores and causes acne and pimples.

Use moisturizers after rhinoplasty

If you are in the habit of using a moisturizer to prevent dry face, it is recommended not to give up this habit after nose surgery.. It is also recommended to avoid products with active ingredients such as alpha hydroxyl acid or retinoids.. The presence of these elements in health and beauty items can irritate sensitive skin and make it more sensitive to sunlight.. In addition, they dry out the skin, while the goal of skin care after rhinoplasty is to have healthy, moist skin..


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Facial makeup after nose surgery

Facial makeup after nose surgery

In most cases, after rhinoplasty, you can start makeup after a short time. Your surgeon may ask you to refrain from applying makeup until the nasal cast is removed. Of course, with your doctor's permission, makeup is the best way to cover bruises and redness around your nose. High quality cosmetics made from natural and mineral materials can be used during recovery. This type of cosmetics is softer than other products and has a better cover. Facial makeup after nose surgery :

How to use cosmetics is also important during the recovery period after rhinoplasty, especially during recovery when you use skin cream or pancakes, do not squeeze your hands; And avoid makeup on the stitches. If you want to cover bruises, it is better to use yellow or green concealer. Green concealer is useful for covering red areas.

Isfahan nose surgeon | Facial makeup after nose surgery

Eye makeup after nose surgery

Regarding eye makeup, it should be said that if you wish, you can have eye makeup the day after the operation - just remember that you should avoid getting wet or wet bandages during the first week - you can use makeup remover pads Use to remove cosmetics on the eyes and prevent the nose from getting wet or damp.


Dr Behnam khorami

Isfahan nose surgeon

Click to view the Instagram page of Dr. Behnam Khorami, a specialist and rhinosurgeon in Isfahan.


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How to properly yawn after nose surgery

How to properly yawn after nose surgery

How to properly yawn after nose surgery

Yawning is a largely involuntary process of opening the mouth and taking deep breaths and filling the lungs with air.. This phenomenon is a very natural response of the body to fatigue.
In fact, yawning is usually caused by drowsiness or fatigue. Some yawns are short, and some are longer than a few seconds before you exhale. Researchers are not sure exactly why yawning occurs. But common stimuli include fatigue and boredom. How to properly yawn after nose surgery :

As you may have noticed, although yawning is involuntary due to drowsiness and fatigue. But after rhinoplasty, the best way to prevent or reduce it; It will be enough to have rest and sleep. Rest in addition to reducing yawning. It will be very necessary and useful for the body to be in the natural process of recovery. Also, do not overwork or work so that boredom and fatigue cause yawning and damage to the nasal tissue after rhinoplasty..

Methods of controlling yawning after rhinoplasty

It must be said that it happens to everyone to yawn whether they like it or not. But after rhinoplasty, it is better to use these methods to minimize damage to your nose due to yawning..
The first method: This method is such that you feel tired. And yawn at you. Do not let your mouth open too much. And facial movements put pressure on the nose. The important thing is that you should not try to make your lips too narrow and your mouth too small. Because it also stretches the muscles of the face and nose.

In fact, it is permissible to open the mouth, whether when talking, laughing or yawning, so that the nose does not move too much and does not cause pain..

The second method: This method will be by holding the bandage of your nose very gently and yawning. Of course, you should be careful that hand pressure acts as a movement inhibitor and does not cause damage to the nose.

Your body needs yawning to get enough oxygen and alert the brain, which is the time to rest and sleep..

Even some medical studies have shown that this operation will cool the brain; Therefore, you should not put pressure on your body or stop yawning in general, because this also harms your overall health..

The bottom line is that if you notice an abnormally high number of yawns before your nose job, you may have sleep disorders, anemia, and other problems that require you to see a doctor and seek treatment..

Isfahan nose surgeon | How to properly yawn after nose surgery

Concluding remarks

In the recovery period after rhinoplasty, which is very important to achieve the desired results. You need to have a proper diet. The use of cold compresses can also help reduce the swelling caused by nasal surgery to some extent.

You can use painkillers to relieve pain with the coordination of your specialist doctor. You will need to rest for a short time and then return to work and resume previous exercises such as walking or running..

Finally, within two weeks after the operation, you can return to your normal activities and routine. Also, during the first month, the speed of recovery is high and you can finally recover after a year 100 See the percentage.

During the recovery period, it is very important to follow the care tips. And each of your life habits, from sleeping and eating to a simple yawn, has its own rules and regulations.. To have the least damage and negative effect on your nose.

It is best to consult your surgeon for more information and better behavior during this period. To offer a personalized program tailored to your condition and recovery process.


Dr Behnam khorami

Isfahan nose surgeon

Click to view the Instagram page of Dr. Behnam Khorami, a specialist and rhinosurgeon in Isfahan.


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Talking after rhinoplasty

Talking after rhinoplasty

Are there any side effects from talking after a nose job?

Rhinoplasty itself causes complications such as swelling and numbness and the like. Talking with your mouth wide open and even laughing and crying will make your nose move more. Facial and nasal movements, especially in the early hours and days after rhinoplasty, may increase swelling and pain..

Immobilizing the nose to get in shape is one of the tips that most surgeons recommend. To understand this, if you have not yet acted, laugh or talk a little and at the same time your hand is on the nose, you will see that it also moves with the movements of the nose.. For this reason, it is recommended to avoid activities that cause these unwanted movements after surgery.

Isfahan nose surgeon | Talking after rhinoplasty

Restrictions on speaking after rhinoplasty

Although some surgeons believe that there is no limit to speaking after rhinoplasty; But others recommend that during 48 In the first hour after surgery and for at least the first few weeks, patients talk and laugh less to speed up their recovery and make it easier. The best way to eliminate swelling is to keep the nose upright because swelling after Rhinoplasty disappears with less gravity.

Another point is that it is very important to keep the upper lip stable when recovering from rhinoplasty. This will allow the nose to move less. Excessive nasal movement in the first days after surgery potentially leads to tip sagging (Ptosis) To be.

In fact, if you open your mouth a lot by talking or even laughing and you feel pain in the area, it is better not to do these things.. However, if you do not have a problem, it is recommended that you talk to your surgeon to see what their specific recommendations are for you.!


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Click to view the Instagram page of Dr. Behnam Khorami, a specialist and rhinosurgeon in Isfahan.


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Mental and physical condition in rhinoplasty

Mental and physical condition in rhinoplasty

Is the mental and physical condition of people among the important conditions of rhinoplasty?

Mental and physical condition in rhinoplasty : As mentioned, people should have tests before having rhinoplasty. For example, one of these tests is about people's heart health. People who have heart problems because they have to experience stress and excitement before the operation must be weighed in this regard, and people should inform the nose job specialist if they have a specific problem..

If people have heart problems. Do not tell your doctor if you have a small or large headache during or after rhinoplasty.. There is no liability for them to the doctor or anyone else. And the client is responsible for such problems.

Other things that a person should have in relation to physical health. No diabetes and also high blood pressure. If people have one or both of these diseases. Everything will be clear when the doctor sends them for a heart test. And if there is a serious problem, the operation will be prohibited for this group of people.

Isfahan nose surgeon | Mental and physical condition in rhinoplasty


Know more : Is rhinoplasty dangerous for heart patients?


People with a history of pneumonia or respiratory illness. They should also fully inform their specialist doctor about all types of these diseases before having rhinoplasty so that they do not have any problems.. These two diseases and even the person's history will be determined when taking a chest x-ray.

Despite the above points for physical health before rhinoplasty, we must note that people must also have complete mental health.. A specialist will usually not allow nose surgery for people with mental illnesses such as depression, and the person is required to obey the doctor's instructions..


Dr Behnam khorami

Isfahan nose surgeon

Click to view the Instagram page of Dr. Behnam Khorami, a specialist and rhinosurgeon in Isfahan.


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